NPIMap

Individual provider Active NPI

Joel Rivera Jimenez, M.D

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1356552889
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P3426 Issued in TX
Practice address
23960 Katy Fwy
Suite 350
Katy, TX 77494-1339
Phone
(713) 464-1845
Fax
(281) 392-5081
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P3426 TX Primary

Addresses

Primary practice location

23960 Katy Fwy
Suite 350
Katy, TX 77494-1339

Mailing address

P.O Box 218923
Houston, TX 77218
Phone (713) 464-1845

Other identifiers 2

IdentifierTypeStateIssuer
308803101MedicaidTX
8DK773OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000330 TX Practitioner - Obstetrics/Gynecology 0244317626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pink Womens Center PAGroup PAC ID 7719297712, 2 clinicians

Practice addresses (Care Compare)

23960 Katy Fwy
Suite 350
Katy, TX 77494-0885
Phone (713) 464-1845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3426TXMDObstetrics & Gynecology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1356552889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 218923",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77218",
            "telephone_number": "713-464-1845",
            "fax_number": "281-392-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY",
            "address_2": "SUITE 350",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941339",
            "telephone_number": "713-464-1845",
            "fax_number": "281-392-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA JIMENEZ",
        "first_name": "JOEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P3426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308803101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DK773",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.